NPI | 1043557473 |
---|---|
Doing Business As | COMPLETE FAMILY CARE |
Entity Type | Organization |
Authorized Contact | LAURA KELLY WHITE Owner/Nurse Practitioner 270-422-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2013-01-04 |
Last Update Date | 2016-10-25 |